This presentation discusses the physical health monitoring of people with serious mental illness (SMI).  It will review not only diabetes and other metabolic screening, but also breast/cervical cancer screening, HIV testing, and Hepatitis C testing.  Given the gaps in care for all people with SMI, especially particular subpopulations with SMI, the presentation will review strategies that individual psychiatrists or clinic/system leaders might consider to improve care.

Learning Objectives

• Describe the increased burden of physical health diseases among people with SMI compared to the general population.
• Summarize the gaps in screening for people with SMI and which subpopulations with SMI are particularly underscreened.
• Identify strategies to improve screening at the individual, clinic, and health system level.

Target Audience

Instructional Level

Introductory

Estimated Time to Complete

Estimated Duration: 1.0 hours 
Program Start Date: November 15, 2019 
Program End Date: November 15, 2025

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™, nursing continuing professional development contact hours (NCPD, formerly CNE), or a certificate of participation may do so by completing all sections of the course, including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 75% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), NCPD certificate (nursing), or certificate of participation (non-physicians) showing the completion date and hours earned.

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Instructor

• Christina Mangurian, MD, is a Professor of Clinical Psychiatry at UCSF School of Medicine and the UCSF Department of Psychiatry's Vice Chair for Diversity and Health Equity. Dr. Mangurian discloses a one-time speaking engagement with Uncommon Bold. 

Planners

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.
• Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.
• Donna Rolin, PhD, APRN, University of Texas at Austin. Reports no financial relationships with commercial interests. 

Program Reviewers

• John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose. (Reviewed on 11/09/22)
• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Dr. Brister has no relevant financial relationships to disclose. (Reviewed on 11/23/22)

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIAdviserHelp@psych.org for technical assistance